What should a nurse ask first if a client undergoing peritoneal dialysis has inflow problems?

What should a nurse ask first if a client undergoing peritoneal dialysis has inflow problems?

• A. Check dialysis tubing for kinks
• B. Ask about recent constipation
• C. Change the client's position
• D. Milk the peritoneal dialysis tube

Answer: (B)

In the context of addressing inflow problems during peritoneal dialysis, the priority is to quickly assess factors that may directly impact the effectiveness of the treatment. Asking about recent constipation is particularly relevant because constipation can lead to increased intra-abdominal pressure, which may hinder the proper inflow of the dialysis solution. This inquiry helps the nurse gather critical information about the client's current condition that could directly affect the dialysis procedure. While checking the dialysis tubing for kinks and changing the client's position or milking the peritoneal dialysis tube are important steps in troubleshooting inflow issues, these actions would generally follow the initial assessment of any related gastrointestinal issues, such as constipation. Identifying and addressing recent constipation can lead to a more effective resolution of the inflow problem if that is the underlying cause. Therefore, prioritizing this question aligns with effective clinical assessment and management principles in the nursing practice.

In the context of addressing inflow problems during peritoneal dialysis, the priority is to quickly assess factors that may directly impact the effectiveness of the treatment. Asking about recent constipation is particularly relevant because constipation can lead to increased intra-abdominal pressure, which may hinder the proper inflow of the dialysis solution. This inquiry helps the nurse gather critical information about the client's current condition that could directly affect the dialysis procedure.

While checking the dialysis tubing for kinks and changing the client's position or milking the peritoneal dialysis tube are important steps in troubleshooting inflow issues, these actions would generally follow the initial assessment of any related gastrointestinal issues, such as constipation. Identifying and addressing recent constipation can lead to a more effective resolution of the inflow problem if that is the underlying cause. Therefore, prioritizing this question aligns with effective clinical assessment and management principles in the nursing practice.